Registration form - School of Biophysics

PARTICIPANT Information

(as stated in your passport)

Name *

Gender *

Date of Birth *

Email *

Mobile phone (international format)

Affiliation *

City *

Country *

Nationality *

Supervisor / Mentor / Senior Scientist *

Field of research *

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Tentative title of contribution (poster and/or short talk) or tentative Ph.D. thesis title: *

BILLING Information

We accept bank transfer and credit card payments

Name of organization or name of person paying *

Address *

Postal code and city *

VAT ID

I wish to pay by: *

Registration Fee *

Please note that registration fee must be paid in advance, no on-site payment is available.

Registration categories:

STUDENTS Early (640€) Regular (740€) Local (200€) (no accommodation/meals)

ACCOMPANYING PERSON: 590€

WORKSHOP ASSISTANT (company): 80€/day (academic): 590€

LECTURER: free of charge

ORGANIZER: free of charge

- single room: +200€ additional cost

Registration is all inclusive (accommodation in double rooms+meals+social events) except for local students (social events only).

Preferred roomate

Special dietary requirements

Notes for the organizer

TRAVEL INSURANCE

According to the Law on the Provision of Tourism Services, we are obliged to offer a travel insurance package.

I wish to purchase the Travel insurance package *

TERMS AND CONDITIONS

Once we receive your registration, your participation will be confirmed by an automatic reply. The Agency will contact you within two working days with further information.

All cancellations or changes should be sent in writing to the Agency.

PAYMENT

ProConventa Agency will send you a pre-invoice with due date of ten days. Once you have paid the invoice the reservation will be fully booked.

CANCELLATION POLICY FOR THE REGISTRATION

All the cancellations and changes must be sent to ProConventa in written form. All refunds will be processed after the conference. Refund of the registration fee will be made as follows: 100% refund (minus an administrative fee of 75 Euro) – in case of cancellation received before June 01, 2020 50% refund (minus an administrative fee of 75 Euro) – in case of cancellation received between June 02 and July 31, 2020 No refund – in case of cancellation, received after Aug 01, 2020

Technical organizer
ProConventa d.o.o. Travel agency
ID: HR-AB-01-080868460
Trg A. Mihanovića 2, 10040 Zagreb, Croatia
MBS: 080868460 \| OIB: 04727302481
VAT NO: HR04727302481
T +385 (0)1 5804 958

DATA PROTECTION

The acquisition, handling (which includes saving data, changes, transmission, blocking and erasing) and utilization of all personal registration data is executed within the guidelines of the effective data protection regulations. The Organizer will collect and store all data necessary for the preparation and execution of the event. To make the payment of registration fee or credit card hotel bookings guarantee – required credit card details (i.e. credit card type and number, expiration date, credit card holder name) will also be collected. All data will be securely saved and processed. In order to protect and safeguard the personal data provided, the appropriate business procedures will be applied, as well as technical and physical restrictions for accessing and using personal information. Only authorized employees are permitted to access personal information for performing their duties in respect of our services. Our server and network are protected by firewalls against unauthorized access. In addition, the Organizer may share only contact details of attendees with third parties that may use these details to contact attendees regarding activities at the event or other communications which may be of interest. The event organizers are obliged to give out attendee`s data due to a court or an official order.

I have read and fully agree with the above general conditions. *

Yes